Eighty-something old man lying down to sleep buzzing in the ears, the most common is neurogenic tinnitus, vascular pulsatile tinnitus and tinnitus caused by the external ear canal stark cerumen blockage. 1. Neurogenic tinnitus: the eighties belongs to the elderly, this kind of people generally have poor sleep quality, often insomnia, anxiety, etc., but also because of hypertension, hyperlipidemia, diabetes and other underlying diseases, resulting in insufficient blood supply and oxygenation of the inner ear, thus appearing neurogenic tinnitus. 2. Vascular pulsatile tinnitus: severe anemia, malignant hypertension, carotid artery aneurysm, jugular vein bulboma and other diseases often cause pulsatile tinnitus, which often manifests itself as a ringing in the ears like a heartbeat after lying down. 3. Blockage of the external auditory canal staring cerumen: the elderly generally lack of attention to the cleanliness of the external auditory canal, resulting in the accumulation of excessive cerumen in the external auditory canal staring cerumen, in the elderly lying down, cerumen due to the role of gravity and the tympanic membrane friction, stimulation of the tympanic membrane produced by tinnitus, often irregular buzzing. Elderly people need to go to the hospital to see a specialist to determine the cause of the standardized treatment, so as not to delay the condition.